Insurance Specialist

Job Summary

To support financial clearance processes, the full-time remote Insurance Specialist will verify insurance eligibility and benefits, ensure authorization requirements are met, and communicate effectively with patients and medical staff regarding insurance coverage and financial responsibilities.

Key responsibilities

• Verify insurance eligibility and benefits for scheduled and unscheduled services to ensure compliance with payor requirements
• Calculate and communicate patients' estimated financial responsibilities for scheduled services
• Educate patients on insurance coverage, benefits, and financial responsibilities, ensuring clear understanding

Required qualifications

• High School Diploma or GED
• 0-1 years of experience in insurance verification, medical billing, or healthcare revenue cycle
• Strong knowledge of insurance plans, authorization requirements, and medical necessity guidelines
• Proficiency in Microsoft Office Suite and healthcare information systems
• Ability to work in a fast-paced environment and manage multiple priorities effectively